SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
1550 SILVEIRA PARKWAY, San Rafael, CA 94903
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask SMITH RANCH SKILLED NURSING & REHABILITATION CENTE, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How SMITH RANCH SKILLED NURSING & REHABILITATION CENTE Compares
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is a 80-bed for-profit nursing facility in San Rafael, California. It holds an overall CMS rating of 4 out of 5 stars, above the California average of 3.2 stars. Its strongest area is quality measures, rated 5 stars. Its rate of falls resulting in major injury (2.6%) is above the California average of 1.6% — a measure worth asking the staff about. With 80 certified beds, it operates near capacity at roughly 90% occupied.
Among the 7 nursing facilities ElderVoice tracks in San Rafael, 1 hold a 5-star rating and the local average is 3.1 stars.
By the numbers vs. California average
- Long-stay antipsychotic medication use: 6.2% — better than the California average of 11.6% (47% lower).
- Falls with major injury: 2.6% — worse than the California average of 1.6% (61% higher).
- High-risk pressure ulcers: 3.8% — better than the California average of 4.5%.
- Short-stay rehospitalization: 22.8% — better than the California average of 23.1%.
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against California averages across 1164 facilities tracked by ElderVoice.
Questions to Ask SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
Use these facility-specific questions when calling admissions, touring the building, or comparing SMITH RANCH SKILLED NURSING & REHABILITATION CENTE with other nursing homes in San Rafael.
What keeps SMITH RANCH SKILLED NURSING & REHABILITATION CENTE's quality measures rating strong?
This category is rated 5 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What practices help SMITH RANCH SKILLED NURSING & REHABILITATION CENTE keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 6.2% here versus 11.6% across California. Lower is generally better for this CMS measure.
What is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE doing to reduce falls with major injury?
Falls with major injury is 2.6% here versus 1.6% across California. Lower is generally better for this CMS measure.
How does SMITH RANCH SKILLED NURSING & REHABILITATION CENTE maintain staffing when occupancy is high?
The facility reports roughly 90% occupancy across 80 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at SMITH RANCH SKILLED NURSING & REHABILITATION CENTE?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains SMITH RANCH SKILLED NURSING & REHABILITATION CENTE's rating advantage in San Rafael?
Its 4-star overall rating is above the local average of 3.1 stars across 7 facilities. Ask which practices families can observe during a tour.
The Senior Community Around San Rafael
San Rafael sits in Marin County, where adults 65 and older make up about 22.3% of the population — a higher share of seniors than California as a whole (14.3% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 57,834 (22.3%)
- Median age
- 47.1 years
- Median household income
- $121,671
- Median home value
- $1,053,600
Demographics for Marin County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near San Rafael.
Facility Details
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